Jason E Mastor Md,Pa in Mooresville - Physician Assistant
Jason E Mastor Md,Pa - NPI 1205928116
Jason E Mastor Md,Pa is a Physician Assistant in Mooresville, North Carolina. Jason E Mastor Md,Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason E Mastor Md,Pa is 1205928116. The last update date is 2010-08-30.
Jason E Mastor Md,Pa's current location address is 206 Joe V Knox Ave, Mooresville, North Carolina. You can contact this provider via phone number 7046626500 and fax number 7046626503. The mailing address for Jason E Mastor Md,Pa is 206 Joe V Knox Ave, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jason E Mastor Md,Pa |
|---|---|
| Address | 206 Joe V Knox Ave, Mooresville, North Carolina |
| Phone Number | 7046626500 |
| Fax Number | 7046626503 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mastor Elia Jason |
| Credentials | M.D. |
| Telephone Number | 7046626500 |
NPI Number Detail
| NPI Number | 1205928116 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
| Address | 206 Joe V Knox Ave |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 281177911 |
| Phone Number | 7046626500 |
| Fax Number | 7046626503 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Jason E Mastor Md,Pa's 1205928116?
The Jason E Mastor Md,Pa's NPI (National Provider Identifier) Number is 1205928116. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason E Mastor Md,Pa?
The Jason E Mastor Md,Pa is situated at 206 Joe V Knox Ave, in the city of Mooresville, state of NC, with the zip code 281177911.
What is the Jason E Mastor Md,Pa's specialty and taxonomy code?
The Jason E Mastor Md,Pa's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Jason E Mastor Md,Pa receive the assignment of its 1205928116 from the Centers for Medicare & Medicaid Services?
The Jason E Mastor Md,Pa was issued its 1205928116 by the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the Jason E Mastor Md,Pa's information last updated?
The Jason E Mastor Md,Pa's information was last updated on 2010-08-30.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY